title: Facilitation of self-transcendence in a breast cancer support group.
abstract: OBJECTIVE
  To examine the feasibility and patterns of effectiveness of a breast cancer support group intervention specifically designed to facilitate self-transcendence views and perspectives that would enhance emotional and physical well-being.
  
  
  METHODS
  Pre-experimental design pilot intervention study with a quantitative approach to data analysis.
  
  
  METHODS
  Survivor-established breast cancer resource center in Austin, TX.
  
  
  METHODS
  Women with recently diagnosed breast cancer (N = 16) participating in 90-minute support group sessions that met weekly for eight weeks.
  
  
  METHODS
  Theory-driven support group intervention facilitated by an oncology clinical nurse specialist, a psychotherapist, and a breast cancer survivor. Activities planned for individual sessions were based on self-transcendence theory, cancer support group literature, and the facilitators' extensive previous support group experience.
  
  
  METHODS
  Self-transcendence, emotional well-being, physical well-being.
  
  
  RESULTS
  Good networking, coordination, and follow-up were essential for participant recruitment and retention throughout the intervention period. Although specific theory-driven activities were planned for group sessions, facilitators maintained flexibility in meeting immediate concerns of the participants. Relationships among participants' scores on study variables indicated an association between self-transcendence and emotional well-being. Scores on self-transcendence and well-being variables at the end of the intervention increased from baseline, but only functional performance status, mood state, and satisfaction with life reached statistical significance.
  
  
  CONCLUSIONS
  The pilot study was invaluable in providing direction for the conduct of future experimental studies.
  
  
  CONCLUSIONS
  Provides preliminary support for the use of theory-driven activities for promotion of self-transcendence views and behaviors within a cancer support group setting.
authors.affiliation: University of Texas at Austin School of Nursing, USA.
authors.forename: D D
authors.initials: DD
authors.lastname: Coward
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001943:Breast Neoplasms / Q000523:psychology*; D005260:Female; D006801:Humans; D019122:Meditation / Q000523:psychology*; D008875:Middle Aged; D010865:Pilot Projects; D012649:Self Concept; D012657:Self-Help Groups